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查谟农村成年人群膝关节骨关节炎的患病率、危险因素及就医行为——一项基于社区的横断面研究

Prevalence, risk factors, and health seeking behavior for knee osteoarthritis among adult population in rural Jammu - A Community based Cross Sectional Study.

作者信息

Bala Kiran, Bavoria Shalli, Sahni Bhavna, Bhagat Preeti, Langeh Sahil, Sobti Shalini

机构信息

Department of Community Medicine, Government Medical College, Jammu, Jammu and Kashmir, India.

Department of Community Medicine, ASCOMS, Jammu, Jammu and Kashmir, India.

出版信息

J Family Med Prim Care. 2020 Oct 30;9(10):5282-5287. doi: 10.4103/jfmpc.jfmpc_643_20. eCollection 2020 Oct.

DOI:10.4103/jfmpc.jfmpc_643_20
PMID:33409203
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7773061/
Abstract

CONTEXT

Osteoarthritis (OA) is a degenerative joint disease, having multifactorial etiology affecting mainly the articular cartilage. Knee OA with its physical symptoms affects daily activities thereby deteriorating the quality of life. Most of the patients delay their visit to health sectors for seeking medical care in musculoskeletal conditions.

AIMS

To find the prevalence and determinants of osteoarthritis among the adult population in the rural area and to assess their health-seeking behavior.

SETTINGS AND DESIGN

A community-based, cross-sectional study.

METHODS AND MATERIAL

A community-based, cross-sectional study was conducted among 232 adults living in a rural area in village Kirpind of R.S. Pura block, Jammu. Knee OA was diagnosed using the clinical criteria laid down by the American College of Rheumatology (ACR).

STATISTICAL ANALYSIS USED

Descriptive statistics, OR with 95% CI, and Chi-square test were used for the purpose of analysis.

RESULTS

The overall prevalence of knee osteoarthritis was 35.7% (females: 44.5% Males: 23.1%). Age more than 60 years, female gender, history of trauma, BMI >30 were found to be significantly associated with higher odds of OA knee ( < 0.05). Descriptive statistics, OR with 95% CI and Chi-square test were used for the purpose of analysis.

CONCLUSIONS

Strategies focusing on creating awareness among the rural elderly regarding the role of a balanced diet, exercise, and weight management along sensitization of primary health care providers concerning benefits of early screening, diagnosis, and referral should be undertaken to minimize this burden.

摘要

背景

骨关节炎(OA)是一种退行性关节疾病,病因多因素,主要影响关节软骨。膝骨关节炎的身体症状会影响日常活动,从而降低生活质量。大多数患者在出现肌肉骨骼疾病时会延迟前往医疗部门寻求治疗。

目的

了解农村地区成年人群中骨关节炎的患病率及其决定因素,并评估他们的就医行为。

设置与设计

一项基于社区的横断面研究。

方法与材料

在查谟R.S. 普拉区基尔平村的农村地区,对232名成年人进行了一项基于社区的横断面研究。采用美国风湿病学会(ACR)制定的临床标准诊断膝骨关节炎。

所用统计分析方法

采用描述性统计、95%置信区间的比值比(OR)和卡方检验进行分析。

结果

膝骨关节炎的总体患病率为35.7%(女性:44.5%,男性:23.1%)。年龄超过60岁、女性、有创伤史、体重指数(BMI)>30被发现与膝骨关节炎的较高发病几率显著相关(<0.05)。采用描述性统计、95%置信区间的OR和卡方检验进行分析。

结论

应采取策略,提高农村老年人对均衡饮食、运动和体重管理作用的认识,并提高初级卫生保健提供者对早期筛查、诊断和转诊益处的认识,以尽量减轻这一负担。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f6e4/7773061/e5e6437883a8/JFMPC-9-5282-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f6e4/7773061/b33ef959d79e/JFMPC-9-5282-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f6e4/7773061/e5e6437883a8/JFMPC-9-5282-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f6e4/7773061/b33ef959d79e/JFMPC-9-5282-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f6e4/7773061/e5e6437883a8/JFMPC-9-5282-g002.jpg

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